This is a worksheet for students to fill out if they are removed from the physical activity setting for discipline reasons.

This is a basic worksheet for mass printing. It asks the student three questions:
"Why are you in time-out?"
"What could you have done differently?"
"What choices will you make next time?"

My students bring the worksheet to me to discuss answers and return to play. I have this statement at the bottom of the page to remind students that they will be asked to sit out the remainder of class if behavior continues. If you would like a copy of this without the bottom statement, please let me know.

"Please bring this to the teacher when completed. Do not interrupt teacher and be prepared to discuss behavior. If your behavior does not change, you may be asked to sit out the rest of class."